| Entity Name: | KAIWELL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Oct 2023 (a year ago) |
| Document Number: | L23000492576 |
| FEI/EIN Number | 93-4195370 |
| Mail Address: | 13818 SW 152 STREET, #380, MIAMI, FL 33177 |
| Address: | 12985 SW 130 Ct, SUITE 102-2, MIAMI, FL 33186 |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356195846 | 2024-04-12 | 2024-04-12 | 13217 SW 206TH TER, MIAMI, FL, 331775122, US | 8370 W FLAGLER ST STE 234, MIAMI, FL, 331442040, US | |||||||||||||||||||
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| Phone | +1 305-707-4394 |
| Fax | 8452500029 |
Authorized person
| Name | LIZAIDA ENAMORADO |
| Role | NURSE PRACTITIONER |
| Phone | 3057074394 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ENAMORADO, LIZAIDA, APRN | Agent | 12985 SW 130 Ct, SUITE 102-2, MIAMI, FL 33186 |
| Name | Role | Address |
|---|---|---|
| ENAMORADO, LIZAIDA | Manager | 12985 SW 130 Ct, SUITE 102-2 MIAMI, FL 33186 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-02 | 12985 SW 130 Ct, SUITE 102-2, MIAMI, FL 33186 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-02 | 12985 SW 130 Ct, SUITE 102-2, MIAMI, FL 33186 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-09 | 8370 W FLAGLER ST 234, MIAMI, FL 33144 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-09 | 8370 W FLAGLER ST 234, MIAMI, FL 33144 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-04-09 |
| Florida Limited Liability | 2023-10-30 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
